Cochrane · systematic review · CD015328

Interventions to prevent obesity in children aged 5 to 11 years old

Spiga, F, Davies, AL, Tomlinson, E, et al. · Cochrane Database of Systematic Reviews · 2024 · Cochrane Library

Public HealthAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
21
current version
GRADE rated
21
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 4.8%Low 13 · 61.9%Moderate 7 · 33.3%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Dietary interventions versus control

Population: children aged 5 to 11 years
7 questions
OutcomeEffectEvidenceStatus / GRADE
BMI short‐term (12 weeks from baseline to < 9 months)
Dietary interventions vs control
no estimate extracted5 studies · 2107 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, publication bias
BMI medium‐term (9 months to < 15 months)
Dietary interventions vs control
no estimate extracted9 studies · 6815 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, publication bias
BMI long‐term (> 15 months)
Dietary interventions vs control
no estimate extracted2 studies · 945 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency, publication bias
zBMI short‐term (12 weeks from baseline to < 9 months)
Dietary interventions vs control
no estimate extracted8 studies · 3695 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency, publication bias
zBMI medium‐term (9 months to < 15 months)
Dietary interventions vs control
no estimate extracted9 studies · 7048 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency, publication bias
zBMI long‐term (> 15 months)
Dietary interventions vs control
no estimate extracted7 studies · 5285 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, publication bias
Serious adverse events
Dietary interventions vs control
no estimate extracted5 studies · 1913 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, publication bias

Activity interventions versus control

Population: children aged 5 to 11 years
7 questions
OutcomeEffectEvidenceStatus / GRADE
BMI short‐term (12 weeks from baseline to < 9 months)
Activity interventions vs control
no estimate extracted14 studies · 4069 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, publication bias
BMI medium‐term (9 months to < 15 months)
Activity interventions vs control
no estimate extracted16 studies · 21286 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency, publication bias
BMI long‐term (> 15 months)
Activity interventions vs control
no estimate extracted8 studies · 8302 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, publication bias
zBMI short‐term (12 weeks from baseline to < 9 months)
Activity interventions vs control
no estimate extracted6 studies · 3580 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, publication bias
zBMI medium‐term (9 months to < 15 months)
Activity interventions vs control
no estimate extracted13 studies · 20600 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency, publication bias
zBMI long‐term (> 15 months)
Activity interventions vs control
no estimate extracted6 studies · 6940 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, publication bias
Serious adverse events
Activity interventions vs control
no estimate extracted11 studies · 21278 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, publication bias

Dietary and activity interventions versus control

Population: children aged 5 to 11 years
7 questions
OutcomeEffectEvidenceStatus / GRADE
BMI short‐term (12 weeks from baseline to < 9 months)
Dietary and activity interventions vs control
no estimate extracted27 studies · 16066 participantsLow
Downgraded: risk of bias, inconsistency, publication bias
BMI medium‐term (9 months to < 15 months)
Dietary and activity interventions vs control
no estimate extracted21 studies · 17547 participantsModerate
Downgraded: risk of bias, inconsistency, publication bias
BMI long‐term (> 15 months)
Dietary and activity interventions vs control
no estimate extracted16 studies · 22098 participantsLow
Downgraded: risk of bias, inconsistency, publication bias
zBMI short‐term (12 weeks from baseline to < 9 months)
Dietary and activity interventions vs control
no estimate extracted26 studies · 12784 participantsLow
Downgraded: risk of bias, inconsistency, publication bias
zBMI medium‐term (9 months to < 15 months)
Dietary and activity interventions vs control
no estimate extracted24 studies · 20998 participantsModerate
Downgraded: risk of bias, inconsistency, publication bias
zBMI long‐term (> 15 months)
Dietary and activity interventions vs control
no estimate extracted22 studies · 23594 participantsLow
Downgraded: risk of bias, inconsistency, publication bias
Serious adverse events
Dietary and activity interventions vs control
no estimate extracted19 studies · 27882 participantsLow
Downgraded: risk of bias, inconsistency, publication bias